[Conventional and minimally invasive surgical methods for

Chirurg · Apr 2005

Meta Analysis Comparative Study

[Conventional and minimally invasive surgical methods for gastroesophageal reflux].

The introduction of minimally invasive techniques has had great influence on the indication and surgical therapy for gastroesophageal reflux disease. This analysis is an overview of the current evidence-based status and a critical reprisal of open and laparoscopic antireflux surgery. ⋯ The analysis of randomized trials showed an advantage for patients after laparoscopy for total and partial fundoplication because of reduced morbidity, shorter postoperative hospitalization due to faster recovery, and significantly fewer scar and wound problems. The functional results of open and laparoscopic techniques were similar. Five-year follow-up results for the latter showed effective reflux control in at least 85% of patients. Randomized trials regarding technical variations did not show an advantage for division of the short gastric vessel. A bougie for the cardia calibration can prevent postoperative dysphagia after fundoplication.

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- K-H Fuchs.
- Klinik für Visceral-, Gefäss- und Thoraxchirurgie, Markus-Krankenhaus, Frankfurter Diakonie-Kliniken. Karl-Hermann.Fuchs@fdk.info
- Chirurg. 2005 Apr 1; 76 (4): 370-8.
UnlabelledThe introduction of minimally invasive techniques has had great influence on the indication and surgical therapy for gastroesophageal reflux disease. This analysis is an overview of the current evidence-based status and a critical reprisal of open and laparoscopic antireflux surgery.ResultsThe analysis of randomized trials showed an advantage for patients after laparoscopy for total and partial fundoplication because of reduced morbidity, shorter postoperative hospitalization due to faster recovery, and significantly fewer scar and wound problems. The functional results of open and laparoscopic techniques were similar. Five-year follow-up results for the latter showed effective reflux control in at least 85% of patients. Randomized trials regarding technical variations did not show an advantage for division of the short gastric vessel. A bougie for the cardia calibration can prevent postoperative dysphagia after fundoplication.

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[Conventional and minimally invasive surgical methods for gastroesophageal reflux].

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